EFM Certification exam 2023 with 100% correct answers

Continuous EFM Results in - more operative vaginal deliveries - fewer spontaneous vaginal births - more c/s for abnormal FHR patterns or acidosis - reduced rates neonatal seizures Continuous EFM does NOT improve - Acidemia - APGARs - NICU admits - Hypoxic ischemic encephalopathy - Pe...

Describe Fetal Heart Rate Monitoring EFM may be external, internal or a combination In the US, the majority of women have EFM during some or all of their labors Each modality has both pros and cons Describe Doppler Ultrasound The doppler US transducer is used to assess FHR characteristics...

In comparing early and late decelerations, a distinguishing factor between the two is A. Onset time to the nadir of the deceleration B. The # of decels that occur C. Timing in relation to contractions C. Timjng in relation to ctx The underlying cause of early decelerations is decreased A...

What are some important factors (risks) to consider when evaluating a fetal heart rate strip? --PNLs (abnormal?) --weight gain/loss --Maternal age --Gestational age --MATERNAL vital signs --Membrane status --Cervical exam What are the easiest ways for assessment of maternal oxygenation...

Ductus venosus connects ______ to ______? Umb. vein to IVC Foramen ovale connects _______to______? R. atrium to L. atrium Ductus arteriosus connects _______ to _______? Pulm. artery to aorta Normal rate 110 to 160 BPM Average baseline rate at 15wks gestation 160 BPM ...

Which of the following factors can have a negative effect on uterine blood flow? a. Hypertension b. Epidural c. Hemorrhage d. Diabetes e. All of the above e. All of the above How does the fetus compensate for decreased maternal circulating volume? a. Increases cardiac output by increas...

Acceleration 15 bpm above base line for 15 secs but less than 30 secs. If less than 32 wks 10x10 Acidosis excessive acidity of body fluids/tissue ph less than 7.1 Respiratory acidosis low ph high Co2 (above 60) Metabolic Acidosis low pH Low 02 normal Co2 Mixed acid...

fetoscope! listens to how the valves of the heart close - Fetoscope is the only true auscultation tool. Doppler picks up heart motion. Fetoscope listens to the valves closing. what is the ONLY true auscultation method? - easy - less charting - lower c/s rates - allows patient movement -...

Baseline Rate Approx mean FHR rounded to increments of 5 bpm during a 10 min segment. Minimum baseline duration must be 2 min, excluding periods of marked variability or segments of baseline that differ by >25 bpm. Bradycardia Less than 110 bpm Tachycardia Greater than 160 bpm ...

Which of the following factors can have a negative effect on uterine blood flow? a. Hypertension b. Epidural c. Hemorrhage d. Diabetes e. All of the above e. All of the above Stimulating the vagus nerve typically produces: a. A decrease in the heart rate b. An increase in the heart ra...

Hypoxemia decreased oxygen content in the blood Hypoxia decreased oxygen content at the level of the tissues; recurrent or sustained hypoxemia can lead to this Byproducts of aerobic metabolism CO2 & H20 When oxygen content is decreased at the level of the tissues; the body pr...

simple diffusion The mechanism for movement of carbon dioxide and oxygen through the placenta. bradycardia The fetal heart rate pattern that is likely to be seen with maternal hypothermia. inferior vena cava Maternal supine hypotension is caused mainly by compression of? Terb...